Important. If erectile dysfunction occurs repeatedly in a man over 50, talk to a doctor, because it could be a sign of another health problem to be treated (heart problem, poorly controlled diabetes, etc. ). Indeed, the sexual arteries being of very small diameter, when they have a narrowed width, this causes an erectile dysfunction (the blood does not reach enough any more in the penis) and one speaks about symptom sentinel: two or three years later, the arteries to the brain or heart may also be narrowed, cialis helps to overcome sexual dysfunctions . This is why a cardiovascular workup is essential in men over 50 years of age with repeated erectile dysfunction.
Erectile dysfunction
Most men treated for erectile brokenness figure out how to recover acceptable sexuality. To do this, the cause (s) of the dysfunction as well as the risk factors must be identified by a doctor.
If there is an underlying disease, it will be treated, and the man will also receive treatment to improve his erectile function.
If the dysfunction is not related to a specific health problem, its treatment may include an improvement in lifestyle (see the Prevention section), cognitive behavioral therapy or consultation of a sex therapist (see Sex therapy below) and, often, treatment with drugs like cialis.
Cognitive-behavioral therapy
This individual psychotherapy approach helps to explore and understand the problem by analyzing, among other things, cognitions, that is, the person’s thoughts, expectations and beliefs about sexuality. These considerations have numerous impacts: lived encounters, family ancestry, social shows, and so on. For example, a man may fear that sexuality will stop with age, and believe that an experience in which he does not achieve an erection is a sign of permanent decline. He may think his wife is moving away from him for this very reason. Consult a psychologist or sex therapist familiar with this approach to use cialis.
Medicines
These considerations have numerous impacts: lived encounters, family ancestry, social shows, and so on. Sildenafil (Viagra) and other IPDE-5. Since the late 1990s, the first-line treatment for oral erectile dysfunction is contradicted by oral administration are phosphodiesterase type 5 (IPDE-5) inhibitors – sildenafil (Viagra), vardenafil (Levitra ) and tadalafil Cialis or avanafil (Spedra). This class of drugs available only by prescription relaxes the muscles of the arteries in the penis. This increases the flow of blood, and allows an erection when there is sexual stimulation. Thus, IPDE-5s are not aphrodisiacs and sexual stimulation is necessary for the drug to work. There are various strengths and durations of action. For example, if the duration of action is 4 hours, we have a 4-hour window of action during which we can have one or more sexual relations (the erection does not last 4 hours). These drugs are effective in 70% of cases but are less effective in chronic disease such as diabetes.
Contraindications apply given the possibilities of drug interactions. Check with your doctor.
Intraurethral treatment
In cases where IPDE-5 is ineffective or when its use is contraindicated, the doctor may prescribe vasoactive substances (for example, alprostadil) which the man learns to administer himself into the urethra. These drugs are administered in the form of mini-suppositories to be introduced into the urinary meats (Muse device) or as a cream (Vitaros). It is a simple and attractive alternative for the 30% of men for whom tablet medications are ineffective.
Penile injections (intracavernous injections)
This prescription-only treatment, since the early 1980s, involves injecting a drug (alprostadil) into one side of the penis. This medication works by relaxing the muscles in the arteries in the penis, which increases the flow of blood within 5 to 20 minutes. With this treatment, the rigidity of the penis is achieved even in the absence of sexual stimulation and lasts about 1 hour. This treatment is increasingly used in men for whom tablet, cream or mini-suppository treatment is not effective. This treatment is effective in 85% of men, and it is most of the time in men who do not respond to treatment with medication in tablets.
Testosterone
If erectile dysfunction is caused by hypogonadism (leading to an abnormal drop in testosterone), therefore the production of sex hormones by the testes is low, hormone therapy with testosterone may be considered. However, it is only effective in a third of cases in regaining functional erections.
